ok, here is the build i use
http://us.battle.net/d3/en/calculator/witch-doctor#fjUdRT!ZcU!cYZZaYwat you wanna do is keep your gargantua on cooldown
then spirit walk into mobs, soul harvest and drop mass confusion
then spam the living shit out of zombie bears
with this build i had no problem on hell, and act 1 inferno
currently working my way through act 2 inferno, keeping the same build
oh and get more health, 20k is not that much at al